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r�io ����` "_'�� GfY OF EVERETi settvice <br />ORDER NO. <br />nPPLiC,�?It�r. � �iR'�,YAT[I7 titRV�C� <br />� FIXEU DAT��"� � � t9�/_ <br />C � <br />� DEPO5IT s `�Ji ' `-�� W.O. <br />- No._ <br />` ' /�/ ^ � _ _ _ -�o I ' /O /°/% y%i� �,; <br />SERVICE �ev�non[ee�_-�'��_-_%�iP�J?�5�-�- -_BLK._ � _LOT_--A6d'��"V� . � <br />OWNER__ �.�-S�=�j ��CL,_.___(_.��� __CONTRACiOR <br />y -/SCAX _ -__ _—_ _ __ -_ - __-_ . <br />INSTAL�_��.iETERED SEHVICE---_- - -----..__ __ __ __. _ . <br />I HEPEBY APPIY FOR THE USE OF WATER IN ACCCROANCE WITH THE ��....yy,.���� \ � <br />ORDINANCES '1N0 POLIQES OF THE WATER DEPARTMENT NGW EdISTIHG /���--1� �� <br />OR AS SAME MAY BE HEFlEhFTEfl CHANGEL. eicr+Eo:%� �! 't/'�J _. <br />MMEPIFLS I�+ �N. j 1 IN. I 2 Iry• � I" � PqICE AMOUNT <br />PIPE I4J IL COPPER-GALV..-STEEL (.���-I I____ � '_ _ <br />CORPORATION__ N.�S�U�/J-��_'. .�'.,.�. � _.� —I—. . . __ _ <br />CURB COCK OT q � I ' <br />- -- _ _-- <br />q-�ct � I <br />SERVICE BOX _ _ PLAST -- C I � � �' Z �A r � �__ _ 1! ; <br />METER VALVE _ :_ I j I <br />METER No. _ _ . . IY�E�. . __J` <br />METER BOX GONCRETE SMALL IARGE I_ ,I � <br />-- N � �5 °73 l �— -��—�- - <br />DATEINSTALLED: <br />COOE <br />+ !'O � �� I � OFF <br />LAOOp ANO EOUIPMENfNENTAI <br />� —� - <br />SUB TOTAL <br />MOUR9 R4TE <br />�z � 3 � i�l <br />— --- �,� -3-�'�, J /Sir -- <br />- - --- - - - - - - --- -- <br />_ o��� .-i 3 /-� � <br />_ - t�''�_�'�-_��i5�f-ac'� 3 �-o% <br />TOTAL <br />R[IdnqKS <br />